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Individual

DR. JOHN T HERBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.B.A.

Contact information

Practice address
506 MALCOLM X BLVD, W P 522, NEW YORK, NY 10037-1802
(212) 939-3550
(212) 939-2759
Mailing address
506 MALCOLM X BLVD, W P 522, NEW YORK, NY 10037-1802
(212) 939-3550
(212) 939-3557

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
126775
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00335479
NY
Enumeration date
07/31/2006
Last updated
07/08/2007
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